Business Lending Prequalification

Business Information

Legal Name *

Physical Location Phone *

Preferred Contact Phone Number *

Cell Phone Number *

DBA name. *

Federal Tax ID *

State of Incorporation *

Email Address *

Fax Number (If applicable)

Business Start Date (MM/DD/YYYY) * +

Industry *

Website URL *

Business Address *

Address 2

City *

State *

ZIP *

Gross Annual Revenue *

Average Monthly Credit Card Sales *

Monthly Bank Deposit Volume *

Average Daily Bank Balance *

Funding Amount Requested *

Use of funds? *

Property type? *

Rent

Own

Is your lease/mortgage current? *

Yes

No

Lease/mortgage payment amount. (dollars) *

Do you have any outstanding loans other than your mortgage? *

Yes

No

Type of business entity *

Other loan current balance. (dollars - if applicable)

Other loan payback amount still due. (dollars - if applicable)

Terms of your other business loan? (if applicable)

Please select your business consultant or referral partner if you already have one. *

Seasonal business? *

Yes

No

Do you own a home? *

Yes

No

Please upload your last three (3) months of bank statements. *

Approximate Credit Score *

Which funding type are you requesting? *

*Please note that your social security number or federal tax ID number is required to complete this application. We will call you to verify all information and securely take that by phone.

Owner/Officer 1 Information

First Name *

Last Name *

Ownership % *

Date of Birth *

SSN *

Position/Title *

Email Address *

Mobile Phone Number *

Home Phone Number

Present Address *

Address 2

City *

State *

ZIP *

Owner/Officer 2 Information (Only Complete if Applicable)

First Name

Last Name

Ownership %

Date of Birth

SSN

Email Address

Present Address

Address 2

City

State

ZIP

Home Phone Number

Mobile Phone Number

Our Packaging Fee will be less than or equal to six percent (6%) of the amount funded on all business loans, or up to three percent (3%) for Commercial and Residential Real Estate Loans. If the Client’s loan is approved, you agree to allow Jeison German Group /JG Venture Capital/JG Realty Funds to directly ACH your account from the loan proceeds totaling the % applicable of the funding amount disbursed. *

Agree

Please acknowledge you have read and agree to the following: Financing may be offered through Stearns Bank, N.A. RCN, ARF Financial or other third-party lenders. Neither JG Venture Capital, JG Realty Funds, JeisonGermanGroup nor any lender makes any commitment to lend, representation or guaranty of any person’s eligibility for financing. Requested financing is subject to approval by the lender, and if applicable as to government-backed financing, the U.S. Government. JG Venture Capital, JG Realty Funds, JeisonGermanGroup makes no commitment or guaranty as to the amount of referral fees or other income payable under the JG Venture Capital, JG Realty Funds, JeisonGermanGroup Referral Partner program. All programs and offers, implied or stated, are subject to change without notice. Member FDIC | Equal Housing Lender. *

Understand and Accept